Organization
VITALE PSYCHIATRIC
Active
Other names
Vitale Psychiatric, Vitale Psychiatric LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDRA TYUS PMHNP-BC (OWNER)
(224) 627-4229
Entity
Organization
Contact information
Practice address
1403 GREENBRIER PKWY, CHESAPEAKE, VA 23320-0614
(757) 436-2444
Mailing address
1403 GREENBRIER PKWY, CHESAPEAKE, VA 23320-0614
(757) 436-2444
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891296695
—
VA
Enumeration date
09/02/2022
Last updated
09/02/2025
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